NPI: 1851857478 · DAYTONA BEACH, FL 32114 · 1223X0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 25 | $294.49 |
| 2022 | 908 | $19K |
| 2023 | 2,896 | $7K |
| 2024 | 368 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | 215 | 214 | $10K | |
| D2392 | 102 | 67 | $5K | |
| D0210 | 110 | 102 | $5K | |
| D0150 | 489 | 474 | $3K | |
| D2391 | 52 | 31 | $1K | |
| D1110 | 177 | 175 | $1K | |
| D1120 | 442 | 435 | $1K | |
| D1208 | 603 | 590 | $862.07 | |
| D0120 | 267 | 266 | $718.20 | |
| D1330 | 510 | 496 | $465.44 | |
| D0340 | 103 | 101 | $280.17 | |
| D0140 | 30 | 30 | $277.11 | |
| D0274 | 294 | 275 | $267.50 | |
| D9230 | 24 | 24 | $185.80 | |
| D0230 | 151 | 138 | $171.52 | |
| D0220 | 274 | 268 | $129.58 | |
| D0272 | 91 | 91 | $120.96 | |
| D0350 | 102 | 100 | $0.00 | |
| D1351 | 109 | 28 | $0.00 | |
| D0470 | 52 | 52 | $0.00 |